Preterm labor is labor that begins more than three weeks before the patient expects to deliver her baby but after the 20th week of pregnancy. Contractions may cause the cervix to open earlier than normal. Notice that there is no ICD-9-CM code for preterm labor with delivery. You would code that situation with 644.2x.
Currently, you should report preterm labor with:
- 644.00, Threatened premature labor unspecified as to episode of care
- 644.03, Threatened premature labor antepartum
ICD-10-CM Codes: When your diagnosis system changes after October 1, 2014, you have three new options:
Question: If you are billing home visits, 99341-99350, the place of service is 12. My question is what will appear in block 32 of the CMS-1500? Do I have to enter the patient’s address into my computer software database as a location, or can I make up a generic location in my database that just states: Patient Home, see block 5 on CMS-1500 for physical address?
From coding to billing and beyond, get the answers you’re seeking straight from the source.
Medicare guidelines are not only confusing because they are ever-changing, but they’re also difficult to interpret because we hear advice from so many varying sources. However, even if you get coding tips from a colleague, that doesn’t mean that Medicare agrees with them.
Plus: Government moves toward possible SGR repeal.
If you weren’t looking forward to the 20+ percent conversion factor cut that was scheduled to hit on Jan. 1, a great holiday gift arrived from Congress late last year. On Dec. 19, Congress approved a
The December 2013 CPT® Assistant is chock full of advice on 2014’s gastrointestinal (GI) endoscopy code updates. You’ll get clarification on which services are separately reportable and even avoid a costly modifier 52 mistake thanks to an ablation coding tip. A one-of-a-kind table offers instruction for each code, helping you get a grip on code options for rigid vs. flexible, transoral vs. transnasal, and more. Plus, don’t miss the sneak peek at the CPT® Editorial Panel’s future plans for GI endoscopy codes.
Other 2014 updates also feature in this CPT® Assistant, including endovascular aorta repair and chest wall oscillation. Take advantage of SuperCoder.com’s Code Connect code and keyword search to keep your skills up to date on these topics.
Don’t expect to see pacemaker and AICD codes grouped the same in ICD-9 and ICD-10.
When you need to indicate the presence of a pacemaker or automatic implantable cardiac defibrillator (AICD), without need for care, you’ll have to get used to turning to Z codes when ICD-10 is implemented. Here are the options you’ll use.
Question: I’m always concerned about protecting our patients’ health information, especially if they receive care that they don’t want to become common knowledge. What’s your advice for these situations, especially when the patient receives care from multiple departments in the hospital?
Sadly, the Final Rule does not include any RVUs for 99446-99449.
Each year when the new edition of CPT® is issued, Part B practices get very excited about the potential for payment from newly established codes. Although this does often come to fruition and you are able to collect for new services, practices can also be let down by low or no reimbursement assigned to new codes.
Now that the 2014 Medicare Physician Fee Schedule
Hint: The place of service(POS) won’t influence your choice.
The first step to consider in determining the appropriate evaluation and management (E/M) code for a service your FP provides is whether the patient is new or established. Your choice is made easy if you know how to apply the three-year rule.
Turn to CPT® for Guidance
A key factor in determining
Here’s a rarity for you — you’ll have fewer specific codes to choose from in ICD-10 than ICD-9 — for esophageal cancer, that is.
Although many conditions will have a direct crosswalk or an expansion to numerous, more-specific codes when ICD-10 goes into effect on Oct. 1, 2014, the opposite will happen for malignant esophageal cancer.
In fact, you’ll go from eight ICD-9 codes to five ICD-10 codes for malignant esophageal cancer, as follows:
|Need Help for ICD-10 Transition? ICD-10 Coding Alert! Your monthly guide to ICD-10 coding, training, and reimbursementClick here to buy the monthly ICD-10 Coding Alert.|